China-Finland Research Collaboration in Health Information Systems: e ­ Health Partnership project 中芬数字化医疗合作项目

1. Chinese universities’ visit to Kuopio 12 June 2008 China-Finland Research Collaboration in Health Information Systems: e­HealthPartnership project 中芬数字化医疗合作项目 高明 Mikko Korpela, Adjunct Prof University of Kuopio, Healthcare Information Systems R&D Unit

2. Outline of the presentation Historical background of health and wellness informatics in Kuopio Historical background of e-health partnership Roots of China-Finland e-health collaboration Export HIS, 2004-2006 eHP Finland, 2006-2007 China-Finland (MOST-KTM) S&T agreement China-Finland eHP, 2007-2008 Future plans: UbiHealth, 2009-2011 Korpela 2

3. Health informatics research and education in the Kuopio region: Roots • Key partner in national hospital information system development in 1980s • The only “buffet” of health informatics education in Finland • Healthcare IT is now a regional and national priority • Int'l health IT: Africa, international standards → China Mikko Korpela

4. Project cluster in health and wellness informatics research in Kuopio Korpela

5. Roots of China-Finland e-health collaboration in summer 2003 • Technology Centre Teknia and the City of Kuopio have well established relations in Shanghai • A medical device company found few clinical health information systems in China to integrate with • Finland has a long tradition of using information systems in healthcare, but few companies are exporting their products • How can existing know-how, companies and software products from Finland be pooled together for exports? → • Phase 1: Concept development in Shanghai Korpela

6. Export HIS objectivesSoftware export / acquisition service chain • Study recent developments in Chinese healthcare system and analyse Hospital Information Systems needs in Shanghai • Evaluate the applicability of Finnish healthcare systems know-how and software to the Chinese market and establish contacts with local authorities and companies • Produce a plan for an actual export / acquisition project, if feasible Korpela

7. Export HIS objectivesSoftware export / acquisition service chain Products and know­how in Finland Needs in Shanghai healthcare? How to link together? • Study recent developments in Chinese healthcare system and analyse Hospital Information Systems needs in Shanghai • Evaluate the applicability of Finnish healthcare systems know-how and software to the Chinese market and establish contacts with local authorities and companies • Produce a plan for an actual export / acquisition project, if feasible Korpela

8. Export HIS:www.centek.fi/exporthisHow to export Finnish healthcare softwarePhase 1: Concept development in Shanghai • Institution in charge: HIS R&D Unit, University of Kuopio Project partners: 10 companies • AtBusiness, FD Systems, GE Healthcare, Duodecim, Mawell, Medikro, Medixine, Mega-Elektroniikka, Mylab, Physiotools • Technology Center Teknia, UKu Health Policy and Mgt. Dept. Duration:Phase 1, June 2004 – Sept 2005 → March 2006 Funding: 290 000 €, Tekes/European Regional Dev. Fund Main outcomes: • Seminar in Shanghai & Guangzhou, April 2005 • Linkages with authorities, companies, hospitals, experts • China-Finland Health IT Summit Forum, Beijing, March’06 • Proposals for further collaboration • Tekes: e-Health Partners Finland • KTM-MOST with MoH: China-Finland e-health partnership (umbrella) • KTM-MOST with SHB: Digital hospital guidelines Korpela

9. e-Health Partners Finland (2006/1–2007/3) • Exporting international-level research-based expertise • Leading edge research, industry & healthcare partners: • Univ. Tampere, Univ. Kuopio, VTT Information Technology • 14 companies: Teknia, Agfa Gevaert, Duodecim, FD Systems, GE Healthcare, GoodIT, Intensium, Mawell, Medici Data, Mediconsult, Mylab, Prowellness, WM-data, YT Tieto • Cities of Kuopio and Tampere, hospital districts of North Savo, Pirkanmaa, Satakunta • Liaison with Ministry of Social Affairs and Health & STAKES • Funding from Finnish Agency for Technology and Innovation Tekes and EU/European Regional Development Fund ERDF • Open to expansion in the next phase Korpela et al. 2006, China Health Information Forum, Shanghai Korpela

10. e-Health Partners Finland www.uku.fi/ehp • Areas of international-level expertise: • Interoperability and integration • Standardization: Software services, structured core data • Architectures: National, regional, hospital-wide & SOA • Evaluation: Health information systems, methods and theories • Activity-driven methods for requirements analysis • Clinical decision support • Drawing from research & development projects: • National EHR: Structured data, architecture, security, legislature • SerAPI: Service-oriented architecture and web services • ZipIT: Combining work development with systems development • MedMan: Medication management in patient information systems • EBMeDS: Evidence-based medical decision support • Main directions: China, USA, EU Korpela et al. 2006, China Health Information Forum, Shanghai Korpela

11. Expected outcomes of eHP project Korpela

12. China-Finland S&T programme:MoH–eHP: China-Finland e-Health • Umbrella project for China-Finland collaboration in the field of health information technology (e-health) • national standards development • e-hospital guidelines • e-hospital implementations • human resources development for e-healthcare • Chinese organization: Ministry of Health / Center for Health Statistics and Information, Wang Caiyou • Approved in China-Finland S&T programme • Expected duration: 2006 – 2009 • No funding for Chinese part from MOST in 2006 Korpela

13. China-Finland S&T programme:SMHB–eHP: e­Hospital Guidelines • Guidelines for EPR/EHR and interoperability in digital hospital (part of China-Finland e-Health Partnership) • Development of internationally compatible guidelines for the general architecture, structured electronic patient/health record (EPR/EHR), integration standards as well as methods of implementation, evaluation and human resources development for digital hospital (“e-hospital”) in China • Chinese organization: Shanghai Municipal Health Bureau / Health Information Center, Fan Qiyong • Approved in China-Finland S&T programme • Chinese funding from Shanghai S&T and Pudong Distr Korpela

14. China-Finland e-Health Partnership (2007/6–2008/12) • Univ. Kuopio (coordinator), Univ. Tampere • 6 companies: Conceptia, eHIT, GoodIT, Mawell, Mylab, Teknia, Tietotarha • Funding 288 000 € from Finnish Agency for Technology and Innovation Tekes (85%) and companies (15%) • Four themes – testing methods developed previously: • Needs and Requirements • Architecture, Interoperability, Standards • Data Set Definition for EHR • Evaluation Korpela

15. Original objectives of Cn-Fi eHP project • Implement the objectives of the plan approved to the China-Finland Science and Technology Agreement • + Information sharing / regional health info network • Participate in MoH national work groups to ensure national compatibility and to contribute nationally • Participate in international standards development to ensure international compatibility and to contribute internationally • Draw experience from similar research and development conducted in parallel in Finland, contribute back to Finland by application experience Korpela

16. China-Finland eHP in a project cluster Commercial application Shenkang Medical link project Cn-Fi e­Health Education, CIMO SMHB project: Approved, 12/2006-11/2008 Related project in Finland: MyWellbeing (OmaHyvin-vointi) Other information sharing pilots China-Finland eHP: Approved in 9/2007 for 6/2007-12/2008 Pudong regional information system pilot National EHR project in Finland, other development projects MoH work groups: Approved, started Korpela

17. Pudong pilot case setting Study ”before”, ”after”, ”future” regional info sharing Korpela

18. Future plans: UbiHealth (2009-2011) • Ubiquitous citizen-centred e-health services: Development, evaluation and acceptance • 以市民为中心的普适性电子健康服务： 开发与评估方法、用户接受研究 • Research plan to the MOTIVE programme of Academy of Finland and NSFC • Univ. Kuopio, HIS R&D Unit • Univ. Tampere, Dept. of Computer Sciences • Fudan Univ., Dept. of Info Management & Info Systems • National Key Lab of Health Technology Assessment, Ministry of Health (Fudan Univ.) Korpela

19. Future plans: UbiHealth (2009-2011) • Univ. Kuopio (coordinator), Univ. Tampere Korpela